The pneumoperitoneum – a continuing mistake in laparoscopy ?
نویسنده
چکیده
Today, laparoscopic surgery is an integral part of the operative repertoire and has broadened gynaecological surgery by continuously providing new indication areas. For a long time, laparoscopy was regarded as the major trend of the century and as a revolution in surgical technology. In recent times, however, the problems associated with this operating technique have been subject of discussions. After an enthusiastic phase, including also an analysis of the technique, the reality of applying this operating technique in the daily hospital operation has now arrived.
منابع مشابه
The dangers of diagnostic laparoscopy in the head injured patient.
Pneumoperitoneum during laparoscopy has been known to result in a rise in intracranial pressure (ICP) in experimental studies. There are no reports of the effect of pneumoperitoneum during diagnostic laparoscopy in patients suffering closed head injuries. We present the case of a 39 year old male with a closed head injury. Diagnostic laparoscopy was performed while intracranial pressure was mon...
متن کاملA deficiency in knowledge of basic principles of laparoscopy among attendees of an advanced laparoscopic surgery course.
INTRODUCTION Advanced laparoscopic courses serve as a comprehensive and popular Continuing Medical Education (CME) activity. Knowledge of basic laparoscopy is an assumed prerequisite for attendance at these courses. OBJECTIVE To determine the baseline laparoscopic knowledge of attendees at an advanced laparoscopic surgical course. METHODS A.17-question examination was designed using data fr...
متن کاملAn improved method of securing abdominal wall bleeders during laparoscopy.
INTRODUCTION LAPAROSCOPY AND OPERATIVE LAPAROSCOPY are the second most commonly performed gynecologic procedures after dilatation and curettage. During these procedures, injuries to the blood vessels in the abdominal wall have resulted from direct trauma caused by either the pneumoperitoneum needle or the trocars. (1) An injury can occur despite direct visualization, elevation of the abdominal ...
متن کاملLaparoscopy: direct trocar insertion without pneumoperitoneum.
This paper examines the technique of directly inserting the laparoscopic trocar without establishing a previous pneumoperitoneum. The technique is carefully described, and a series of 1002 patients in whom it has been used are reported. The advantages of this method are discussed. Use of the Surgiport Disposable Trocar with the shield enhances the safety of this technique. This technique merits...
متن کاملImpact of gasless laparoscopy on circulation, respiration, stress response, and other complications in gynecological geriatrics.
This study aimed to explore the impact of gasless laparoscopy on circulation, respiration, stress response and other complications in gynecological surgery for old female patients. 40 patients (American Society of Anesthesiologists II-III, 60-70y) scheduled for elective gynecological laparoscopy were divided into non-pneumoperitoneum group (NP) and pneumoperitoneum group (P). All patients inclu...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره شماره
صفحات -
تاریخ انتشار 2007